User Manual

Therapy
4-22 LIFEPAK 20e Defibrillator/Monitor Operating Instructions
Defibrillation Procedure
To defibrillate the patient:
1 Press
ON to turn on the defibrillator.
2 To access the pediatric paddles, slide the adult paddle forward until it releases.
3 Apply defibrillation gel to the pediatric paddle electrode surfaces.
4 Select the appropriate energy for the weight of the child according to American Heart
Association recommendations (or equivalent guidelines).
5 Place the paddles firmly on the patient's chest.
6 Press
CHARGE.
7 Make certain all personnel, including the operator, are clear of the patient, the bed, and any
equipment connected to the patient.
8 Confirm ECG rhythm and available energy.
9 Press the
SHOCK button on the defibrillator or the SHOCK buttons on the standard paddles to
discharge energy to the patient. For standard paddles, apply firm pressure with both paddles to
the patient’s chest, and press both paddle buttons simultaneously to discharge energy to the
patient. For safety reasons, the
SHOCK button on the defibrillator front panel is disabled when
using standard paddles.
Note: To disarm (cancel the charge), press the Speed Dial. The defibrillator disarms
automatically if shock buttons are not pressed within 60 seconds, or if you change the
energy selection after charging begins. Press
CHARGE to restart charging.
Note: If the
ABNORMAL ENERGY DELIVERY message appears and the shock is not effective,
increase energy, if necessary, and repeat shock. (Also refer to page 4-24.)
Troubleshooting Tips for Defibrillation and Synchronized Cardioversion
Table 4-3 Troubleshooting Tips for Defibrillation and Synchronized Cardioversion
Observation Possible Cause Corrective Action
1 Charge time to 360 J
exceeds 10 seconds.
Battery low. • Connect to AC power.
• Defibrillator operating in low
temperature environment
(<25°C or 77°F).
2 Energy not delivered to
patient when
SHOCK
button(s) are pressed.
Defibrillator in sync mode and
QRS complexes are not
detected.
• Change ECG lead for
optimum sensing QRS or
deactivate SYNC.
Defibrillator in sync mode;
SHOCK button(s) not pressed
and held until next detected
QRS.
• Hold shock buttons until
discharge occurs or next
detected QRS.
SHOCK button(s) pressed
before full charge reached.
• Wait for tone and message
indicating full charge.
Sixty seconds elapsed before
SHOCK button(s) pressed
after full charge. Energy
internally removed.
• Press
SHOCK button(s) within
60 seconds of full charge.
ENERGY selection changed. • Press CHARGE again.
Test plug connected to
QUIK-COMBO therapy cable.
• Disconnect test plug and
connect electrodes to
QUIK-COMBO therapy cable.